Baby Teething Symptoms & Soothing Remedies

What is Teething?

Teething is one of those unforgettable parenting milestones—like the first giggle or first step—but it comes with its fair share of drama. Essentially, teething is the process where your baby’s teeth start breaking through their gum line. It’s completely natural and, although it can be a tough phase for both babies and parents, it’s a sign that your little one is growing just as they should.

Your baby is born with a full set of 20 primary teeth below the gum line. These teeth slowly push their way up through the gums over time. The entire process usually starts around six months of age, but it can vary. Some babies might show their first tooth as early as 3 months, while others might not get theirs until after their first birthday. This range is normal, so don’t panic if your baby’s teething doesn’t match someone else’s timeline.

Now, while the biology of teething might sound simple, the experience is anything but. Teething can be uncomfortable, painful, and emotionally taxing for your baby—which means it can also be tough on you. There’s fussiness, drooling, chewing, and sometimes even sleep disruptions. But knowing what to expect can make all the difference.

When a tooth starts to erupt, the pressure of it pushing through the gums can cause inflammation, making the gums swollen and sore. That’s the source of most of the discomfort your baby will feel. Teething isn’t just about physical changes—it’s a period of emotional adjustment too. Babies may cry more than usual, seem clingy, or even act as if something serious is wrong when it’s really just those tiny teeth coming in.

And guess what? It’s not just one tooth at a time. Often, multiple teeth come in together or in rapid succession, which can prolong the discomfort. Understanding the symptoms of teething helps you provide the right kind of comfort and care during this challenging period.

When Does Teething Begin?

The timing of teething can feel like a mystery. Some babies might start teething at three months, while others won’t begin until after their first birthday. On average, most babies get their first tooth around six months of age. This first tooth is usually one of the bottom front teeth (called the central incisors).

But teething doesn’t follow a strict schedule. Some babies are born with a tooth (a condition known as natal teeth), while others can go toothless well into their first year. If your baby hasn’t started teething by 12 months, it’s usually nothing to worry about, but you can bring it up at your next pediatric appointment just for peace of mind.

Once the process begins, teething continues on and off until around age 2½ to 3, when all 20 primary teeth have typically made their grand appearance. The order in which the teeth erupt generally follows this pattern:

1. Lower central incisors (6–10 months)

2. Upper central incisors (8–12 months)

3. Upper lateral incisors (9–13 months)

4. Lower lateral incisors (10–16 months)

5. First molars (13–19 months)

6. Canines (cuspids) (16–22 months)

7. Second molars (23–33 months)

These timelines are approximate, and every baby is unique. Some kids breeze through teething without much fuss, while others feel every tiny push. Genetics play a role here—so if you or your partner teethed early or late, your baby might follow suit.

By knowing what to expect and when, you can better prepare yourself for what’s coming, and more importantly, help your baby through each stage with patience and care.

Common Signs of Teething in Babies

Excessive Drooling

If your baby suddenly seems like they’ve turned into a tiny faucet, chances are good that teething has arrived. Drooling is one of the earliest and most recognizable signs that a tooth is coming in. Why the sudden surge of saliva? It’s your baby’s body’s natural response to the inflammation caused by those erupting teeth.

Drool helps protect and soothe irritated gums, but it also creates a bit of a mess. You might notice your baby’s clothes constantly damp or see a little rash form around their chin, neck, or chest. This drool rash isn’t serious, but it can be uncomfortable, so it’s worth keeping an eye on.

Here are some tips to handle excessive drooling:

• Keep a soft bib on your baby to catch the drool and protect their clothes.

• Wipe their face frequently with a soft, clean cloth to prevent rashes.

• Apply a baby-safe barrier cream to sensitive skin to reduce irritation.

While drooling usually starts around the time teething begins, some babies drool earlier than they actually get a tooth. It’s part of the body's preparation process. And yes, it can last a while. In some babies, the drool never seems to end until that final molar is in place!

The good news? All that drool helps break down bacteria and aids digestion. So while it’s messy, it’s also doing something beneficial. Just be sure to keep your baby’s chin and neck clean and dry to prevent soreness and rashes.

Chewing on Objects

Another telltale sign your baby is teething? They suddenly want to chew on everything—toys, fingers, your shoulder, or even the dog’s tail if they can reach it! This intense need to gnaw is not just random behavior—it’s your baby’s way of coping with the pressure and pain in their gums.

Chewing offers counter-pressure to the gum surface, helping to alleviate discomfort as the tooth pushes its way up. You might notice your baby biting their bottle nipple, gumming a teething ring like it’s the world’s best snack, or even chewing on their crib rail (time to babyproof if you haven’t already).

What can you do to help?

• Offer safe teething toys made from soft silicone or rubber. Look for BPA-free options.

• Cold washcloths work wonders. Wet one, chill it in the fridge, and let your baby chew.

• Chilled (not frozen) teething rings can provide soothing relief.

Avoid giving your baby anything hard or frozen solid to chew on—it can damage sensitive gums or budding teeth. And always supervise when they’re chewing to prevent choking hazards.

Chewing isn’t just a coping mechanism—it’s also a way babies explore the world. But during teething, it becomes their go-to tool for relief. Embrace the chewing phase; just make sure what they chew is safe and clean.

Irritability and Fussiness

Is your usually cheerful baby suddenly fussy and hard to soothe? Teething could be the culprit. Irritability is one of the most common and exhausting symptoms for parents to deal with. As those teeth work their way through the gums, your baby might become cranky, whiny, or just not their usual self.

The discomfort and pressure in their gums can make babies more sensitive and emotionally reactive. They may want constant cuddles, reject their favorite toys, or cry for reasons that seem unclear. This moodiness can last for a few days or come in waves as each new tooth appears.

Here are some soothing strategies:

• Cuddle more often. Physical comfort can help calm a cranky baby.

• Stick to routines. Familiar naps and feeding times can offer security.

• Use teething aids like chilled teethers or pacifiers to distract and comfort.

This is where your parenting patience will be tested. Teething is a phase—albeit a challenging one—but with comfort, attention, and a lot of love, your baby will get through it. So will you.

Swollen or Tender Gums

One of the most noticeable physical signs of teething is swollen, tender gums. If you run a clean finger along your baby’s gum line, you might feel a small bump or ridge—this is the tooth trying to push through. The gum area can appear red, slightly inflamed, or even bruised looking in some babies.

This swelling causes quite a bit of discomfort, especially in the days leading up to tooth eruption. Your baby may resist feedings, become extra clingy, or cry out when you touch their mouth. This is simply their way of reacting to the internal changes happening in their gums.

Here’s how to manage swollen gums:

• Gently massage the gums with a clean finger to ease the pressure.

• Use a cool washcloth or chilled teether to soothe the area.

• Avoid hard or frozen items that can worsen the tenderness.

If you take a peek inside your baby's mouth and see a white or yellowish spot under the gum or just about to break through, that’s a sign that the tooth is very close. In some cases, you may also notice a small blister-like bubble on the gums. This is called an eruption cyst, and while it might look alarming, it’s usually harmless and resolves on its own once the tooth comes through.

Always keep your baby’s mouth clean during teething, as open gums can make them slightly more prone to mild infections. Wipe their gums with a soft, damp cloth at least once a day. Keeping their mouth clean not only soothes but also helps them get used to oral hygiene early on.

Swollen gums can be painful, but they’re also a positive sign that the teething process is moving forward. Your little one’s beautiful baby smile is on its way!

Slight Increase in Temperature

Many parents report that their baby runs a slight fever while teething—and they’re not imagining things. It’s not uncommon for a teething baby to have a mildly elevated temperature, usually under 100.4°F (38°C). This slight increase is typically the result of gum inflammation and increased blood flow to the mouth.

However, this is where it's important to draw a line: a high fever (above 100.4°F or 38°C) is not considered a normal part of teething. If your baby has a high fever, it may be due to something else—possibly an infection—and you should consult a pediatrician.

What can you expect?

• Low-grade temperature, usually between 99°F to 100°F.

• Lasts only a day or two as the tooth breaks through.

• May come with other signs like gum swelling or irritability.

How to comfort your baby:

• Dress them lightly and keep the room comfortably cool.

• Offer fluids regularly to prevent dehydration.

• Use infant-safe pain relievers (like acetaminophen or ibuprofen), but only with your pediatrician’s approval.

You should always monitor your baby’s temperature if they seem warm or extra fussy. Sometimes, parents mistakenly assume every discomfort is related to teething, which can lead to overlooking other issues like colds or ear infections. If your baby seems off in other ways—such as persistent crying, refusal to eat, or extreme lethargy—trust your instincts and consult a doctor.

While a mild temperature increase can be part of the teething experience, it’s usually manageable. Just keep an eye on the thermometer and be ready with a cuddle or two—sometimes, that's all the medicine a baby really needs.

Less Common but Possible Teething Symptoms

Sleep Disruptions

Ah, sleep—something most new parents dream about (literally). Unfortunately, teething often throws a wrench into your baby’s sleep routine. The discomfort of erupting teeth can make it hard for babies to fall asleep or stay asleep, especially at night when they’re lying flat and the pain feels more intense.

You might find your baby:

• Wakes up crying suddenly

• Has trouble falling asleep even when tired

• Sleeps more during the day but less at night

Teething-related sleep disturbances can be short-lived or stretch out over several days depending on how many teeth are coming in. In some cases, just as one tooth erupts and sleep returns to normal, another starts pushing through and the cycle repeats.

What you can do:

• Stick to a calming bedtime routine. Bath, bottle, lullaby—it helps create comfort and predictability.

• Offer a teething toy before bedtime to ease gum discomfort.

• Use infant pain relievers sparingly, only if the discomfort is clearly interfering with rest.

Sleep disruptions are exhausting for both babies and parents, but they’re typically temporary. As more teeth erupt, many babies gradually adjust and return to normal sleeping habits. Until then, extra patience, cuddles, and the occasional nap when the baby sleeps can help you get through it.

Decreased Appetite

Imagine trying to eat when your mouth is sore—sounds unpleasant, right? That’s exactly how your baby feels during teething. Many babies temporarily lose their appetite or seem less interested in nursing or bottles when their gums are inflamed. This is especially true during the peak of teething pain when a tooth is just about to break through.

Your baby might:

• Refuse to nurse or drink from a bottle

• Turn their head away from food or solid snacks

• Chew on the bottle nipple or spoon instead of sucking

While it can be concerning to see your baby eat less, it’s usually a short-term issue. Most babies bounce back to their regular feeding habits once the tooth has come through or the discomfort subsides.

Ways to encourage eating:

• Offer cold foods like chilled applesauce, yogurt, or purees if your baby is eating solids.

• Use a different bottle nipple—sometimes a softer or slower flow helps.

• Offer breast or bottle in a calm, quiet environment to minimize distractions.

If your baby goes more than a day or two without eating or drinking normally, or if they show signs of dehydration (like fewer wet diapers), contact your pediatrician. Decreased appetite during teething is normal, but it shouldn’t be prolonged.

In most cases, as soon as the tooth pops through, your baby's hunger will return with a vengeance—so keep a bib handy!

Ear Pulling and Cheek Rubbing

This one catches a lot of parents off guard. When babies start tugging at their ears or rubbing their cheeks, the first worry is usually an ear infection. But believe it or not, this behavior is also linked to teething—especially when the back molars are coming in.

Here’s why it happens:

• The nerves in the gums, ears, and cheeks are closely connected.

• When a baby’s gums hurt, the pain can radiate to nearby areas, making them rub or pull in response.

This can be especially confusing because the signs overlap with actual ear infections. So how can you tell the difference?

Teething-related ear pulling:

• Happens off and on, usually during teething episodes

• No fever or signs of illness

• Baby is otherwise playful and alert

Ear infection:

• Constant ear pulling, especially during or after a cold

• Fever, crankiness, or fluid coming from the ear

• Baby might seem more ill or lethargic

If you’re unsure, it’s always best to consult your pediatrician. In most teething cases, some gentle cheek rubs or cuddles are enough to soothe your baby.

Myths and Misconceptions About Teething

Teething and High Fever

Let’s clear this up once and for all—teething does not cause high fever. This is one of the most common misconceptions among parents and even some caregivers. While a slight increase in temperature can be expected (typically under 100.4°F or 38°C), anything higher than that is usually a sign of something else, like a viral or bacterial infection.

Here’s what many parents experience:

• Their baby begins teething.

• Around the same time, the baby develops a high fever.

• Naturally, they assume the teething caused the fever.

But it’s often just a coincidence.

The teething age—around 4 to 7 months—is also the time babies start becoming more exposed to common illnesses. Their immune systems are still developing, and they’re putting everything in their mouths, which can introduce germs. So, when your baby has both a fever and a new tooth, it’s probably not the tooth to blame.

What should you do if your baby has a high fever?

• Monitor the temperature closely.

• Look for other signs like diarrhea, vomiting, or unusual lethargy.

• Consult a doctor if the fever is 100.4°F (38°C) or higher, especially if it lasts more than a day or comes with other symptoms.

Bottom line: Teething may cause discomfort, irritability, and even a slight temperature bump, but a high fever means something more serious may be going on. Always play it safe and get medical advice if you’re unsure.

Teething and Diarrhea

Another persistent myth is that teething causes diarrhea. Many parents swear that their baby gets loose stools whenever a tooth is coming in. While teething can cause increased drooling (which some believe may affect the digestive tract), medical experts generally agree that diarrhea is not a direct symptom of teething.

So, why the confusion? Let’s break it down:

• Around 6 months of age, babies start putting everything in their mouths.

• They’re also starting to eat new foods, especially solids.

• Their immune systems are still developing.

All these factors increase the risk of mild stomach bugs, which could easily be mistaken as teething-related diarrhea.

What is considered normal during teething:

• Slight changes in bowel habits (a bit softer stool)

• Increased drool that may seem to “move through” the system

What’s not normal:

• Frequent watery stools

• Signs of dehydration (dry mouth, fewer wet diapers)

• Diarrhea lasting more than 24 hours

If your baby has persistent diarrhea, it’s best not to chalk it up to teething. Consult a pediatrician to rule out food intolerance, infection, or other issues.

In short, while teething comes with many symptoms, diarrhea should not be considered one of them. Always look at the bigger picture when evaluating your baby’s health.

How to Soothe a Teething Baby

Safe Teething Toys

One of the best ways to help a teething baby is by giving them something safe to chew on. Teething toys, also known as teethers, are specially designed to provide counter-pressure to the sore gums, which can significantly relieve discomfort.

When choosing a teething toy, here’s what to keep in mind:

• BPA-free and non-toxic materials

• Easy for small hands to hold

• Textured surfaces for extra soothing

• Durable, but soft enough not to hurt gums

Some popular types include:

• Silicone teethers: Soft, flexible, and easy to clean.

• Teething rings: Often filled with water or gel; can be chilled for extra comfort.

• Teething mittens: Worn on the baby’s hand and perfect for little ones who can’t grasp toys yet.

Avoid toys with small parts, sharp edges, or liquids that could leak. Also, never tie a teether around your baby’s neck or wrist, as this poses a strangulation risk.

It’s a good idea to rotate a few teething toys to keep things fresh and exciting. Some babies develop a favorite teether that they won’t let go of—treat it like a comfort object, and make sure it’s always clean and within reach.

Teething toys aren’t just practical—they’re lifesavers. They give your baby the comfort they need and give you a few moments of peace in the chaos.

Cold Compress or Washcloth

Sometimes, the simplest solutions are the most effective. A cold compress or chilled washcloth can do wonders for soothing sore, inflamed gums. The cool temperature numbs the area slightly and reduces swelling, offering instant relief.

Here’s how to use a cold washcloth for teething:

1. Soak a clean washcloth in water.

2. Wring it out and place it in the refrigerator (not freezer) for about 30 minutes.

3. Let your baby chew on it while supervised.

You can also twist the cloth into a shape that’s easier to grip or even soak it in chamomile tea (unsweetened and pediatrician-approved) before chilling for added calming benefits.

If you prefer using a cold spoon or baby-safe teether from the fridge, that works too. Just avoid freezing teethers—they can become too hard and damage your baby’s gums.

Cold therapy is safe, cost-effective, and incredibly soothing. Keep a few chilled washcloths in a ziplock bag in the fridge so you're always prepared for a teething flare-up.

Teething Gels and Natural Remedies

For parents looking beyond toys and cold washcloths, teething gels and natural remedies can offer additional relief—but they come with caveats.

Teething Gels:
Some over-the-counter gels contain benzocaine or lidocaine, which are numbing agents. However, the FDA strongly advises against using gels with benzocaine in children under 2 years old due to the risk of serious side effects like methemoglobinemia, a rare but life-threatening condition that affects oxygen levels in the blood.

If you’re considering using a teething gel:

• Consult your pediatrician first.

• Opt for benzocaine-free formulas labeled as safe for infants.

• Use sparingly and apply only to affected areas.

Natural Remedies:
Many parents prefer a more holistic approach to teething. Here are some natural options that are generally considered safe:

• Chamomile tea (mild and unsweetened): Can be chilled and used to soak a washcloth.

• Breastfeeding: The act of nursing can be very soothing for teething babies.

• Essential oil blends: Only if recommended by a professional and diluted properly—never apply directly to gums without expert guidance.

Avoid homeopathic tablets unless explicitly cleared by your pediatrician. Some have been recalled due to inconsistent dosing or harmful ingredients.

In conclusion, while teething gels and natural remedies can be helpful, always prioritize safety. A combination of cuddles, cool comfort, and pediatric-approved methods is usually the most effective—and safest—path to relief.

Conclusion

Teething is one of those parenting phases that sneaks up on you and demands a whole new level of patience, intuition, and empathy. While it's a completely natural part of your baby's development, it can feel anything but natural when you're up all night with a fussy, drooling, and uncomfortable little one. But knowing what to expect—and how to help—can make this phase far more manageable for both you and your baby.

From the very first drool to the last molar breaking through, teething brings a whole spectrum of symptoms: swollen gums, crankiness, chewing, disrupted sleep, and even temporary changes in appetite. While these symptoms can be challenging, understanding them is the first step toward soothing your baby's discomfort.

It's equally important to recognize what isn't a symptom of teething. High fevers, prolonged diarrhea, and excessive lethargy shouldn't be brushed off as “just teething.” Always err on the side of caution and consult your pediatrician if anything seems off.

The good news? Teething doesn’t last forever. While it might feel like a never-ending phase at times, it’s just one small chapter in your baby’s journey. And once those tiny teeth pop through, you’ll have a whole new reason to smile every time your baby does.

By using safe, pediatrician-approved methods—whether it's teething toys, cold washcloths, or natural soothing remedies—you can help your baby get through the discomfort with as much ease and comfort as possible. And don’t forget, your love, cuddles, and presence are often the most effective tools of all.

As with all things parenting, this too shall pass. Hang in there, you're doing an amazing job—and your baby’s beautiful smile will soon be shining through, one little tooth at a time.

FAQs

1. How long does teething last for each tooth?
Each tooth can take anywhere from a few days to a week to fully break through the gums. However, the discomfort may start several days before you see the actual tooth and linger a bit afterward.

2. What should I do if my baby refuses to eat while teething?
Try offering chilled foods or switching up feeding methods (like using a spoon instead of a bottle). If refusal lasts more than a day or two, consult your pediatrician.

3. Can teething cause my baby to wake up crying in the night?
Yes, nighttime sleep disruptions are common during teething because gum pain can feel more intense when the baby is lying down.

4. Are amber teething necklaces safe?
No. Pediatricians and health experts advise against using amber necklaces due to the risk of choking and strangulation. Stick to safer, supervised teething methods.

5. When should I see a doctor about teething symptoms?
If your baby has a fever over 100.4°F (38°C), diarrhea lasting more than 24 hours, extreme irritability, or any unusual symptoms, it’s time to call the doctor. Better safe than sorry.